Medical school: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated: 2004
NPI: 1891934311
Practice Locations (2)
SANFORD MEDICAL CENTER FARGO
4000 28TH AVE S
MOORHEAD, MN 565607926
7012343200
SANFORD MEDICAL CENTER FARGO
801 BROADWAY N
FARGO, ND 581023641
7012342000
Source: CMS National Downloadable File, September 2026.